Amy Wada, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

076165 Issued in NC

Practice address

612 Mocksville Ave
Salisbury, NC 28144-2732

Phone

(704) 210-5661

Fax

(704) 210-5660

NPI assigned

Oct 26, 2006

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: awada98797@direct.novanthealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gateway Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Concord, NC
  • NPI 1548401789
  Medicare reassignment
• Novant Health Rowan Medical Center LLC

  dba Novant Health Rowan Medical Center

  • General Acute Care Hospital
  • Salisbury, NC
  • NPI 1508843566
  NPD (past)
• The Presbyterian Hospital

  dba Novant Health Presbyterian Medical Center CRNAs

  • Certified Registered Nurse Anesthetist
  • Charlotte, NC
  • NPI 1487626933

  Nurse Anesthetist, Certified Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1538244454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9614 TRAMACERA CT NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 MOCKSVILLE AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442732",
            "telephone_number": "704-210-5661",
            "fax_number": "704-210-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADA",
        "first_name": "AMY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "076165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AWADA98797@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "612 Mocksville Ave",
            "city": "Salisbury",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281442732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• W. G. Shannon, MD, PA
• W.G. (Bill) Hefner VA Medical Center
• W.G. Bill Hefner Vamc
• W.G. Hefner VA Medical Center
• W.G.Bill Hefner Medical Center
• Jenny Wade, LCSW-A
• Learo Wayne Wade
• Wake Forest University Health Sciences
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1552)
• Wal-Mart Stores East, LP (Vision Center 30-1552)

• Certified Registered Nurse Anesthetist in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.